BACKGROUND: Depression is the number one cause of disability in the world. Hispanic women are at a higher risk for depression than Caucasian and African American women. This is in part due to multiple social determinants of health that affect the individual, family, aggregates, and community. OBJECTIVE: To investigate the social determinants of depression among Hispanic women in South Florida. DESIGN: This is a secondary cross-sectional data analysis. A total of 280 Hispanic women from South Florida between 18 and 50 years of age were analyzed. RESULTS: Depression is prevalent among Hispanic women in South Florida (37.5%). Education, health status, and living with partner were significant predictors of depression in the sample. CONCLUSION: Development of a culturally tailored risk assessment tool that highlights the social determinants of depression in Hispanic women is essential, as it could be used as a standard practice in primary care and other appropriate settings.
AmaroH.FelipeN.JohnsonJ. (1987). Family and work predictors of psychological well-being among Hispanic women professionals. Psychology of Women Quarterly, 11, 505-521.
2.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
3.
AtkinsR. (2010). Self-efficacy and the promotion of health for depressed single mothers. Mental Health in Family Medicine, 7, 155-168.
4.
BrownL. K.Tool-ShamsM.LescanoC.HouckC.ZeidmanJ.PugatchD.LourieK. J. (2006). Depressive symptoms as a predictor of sexual risk among African American adolescents and young adults. Journal of Adolescent Health, 39, 444.e1-e8.
5.
CastilloL.ArchuletaD.Van LandinghamA. (2006). The influence of employment status on depressive symptomatology of U. S.-born Mexican American women. Journal of Rural Community Psychology, E9(1). Retrieved from http://www.marshall.edu/jrcp/9_1_Castillo.htm
6.
Centers for Disease Control and Prevention. (2012). An estimated 1 in 10 adults in the U.S. report depression. Retrieved from http://www.cdc.gov/Features/dsDepression/
7.
CianelliR.FerrerL.McElmurryB. J. (2008). HIV prevention and low-income Chilean women: Machismo, marianismo and HIV misconceptions. Culture, Health & Sexuality, 10, 297-306. doi:10.1080/13691050701861439
8.
CianelliR.LaraL.VillegasN.BernalesM.FerrerL.KaelberL.PeragalloN. (2013). Impact of Mano a Mano Mujer, an HIV prevention intervention, on depressive symptoms among Chilean women. Journal of Psychiatric and Mental Health Nursing, 20, 263-272. doi:10.1111/j.1365-2850.2012.01907.x
9.
DavilaM.McFallS. L.ChengD. (2009). Acculturation and depressive symptoms among pregnant and postpartum Latinas. Maternal and Child Health Journal, 13, 318-325. doi:10.1007/s10995-008-0385-6
10.
DoornbosM. M.ZandeeG. L.DeGrootJ. (2012). Clinging to any bit of joy: Urban, ethnically diverse, impoverished women’s descriptions of anxiety and depression. Archives of Psychiatric Nursing, 26, 437-447. doi:10.1016/j.apnu.2011.12.007
11.
ErtelK. A.Rich-EdwardsJ. W.KoenenK. C. (2011). Maternal depression in the United States: Nationally representative rates and risks. Journal of Women’s Health, 20, 1609-1617. doi:10.1089/jwh.2010.2657
12.
FarrS. L.BitskoR. H.HayesD. K.DietzP. M. (2010). Mental health and access to services among US women of reproductive age. American Journal of Obstetrics and Gynecology, 203, 542.e1-e9. doi:10.1016/j.ajog.2010.07.007
13.
FortnerR. T.PekowP.DoleN.MarkensonG.Chasan-TaberL. (2011). Risk factors for prenatal depressive symptoms among Hispanic women. Maternal and Child Health Journal, 15, 1287-1295. doi:10.1007/s10995-010-0673-9
14.
GreenfieldE. A. (2012). Using ecological frameworks to advance a field of research, practice, and policy on aging-in-place initiatives. The Gerontologist, 52(1), 1-12. doi:10.1093/geront/gnr108
15.
Institute of Medicine. (2012). How far have we come in reducing health disparities? Washington, DC: National Academies Press.
16.
KhawajaI. S.WestermeyerJ. J.GajwaniP.FeinsteinR. E. (2009). Depression and coronary artery disease: The association, mechanisms, and therapeutic implications. Psychiatry, 6(1), 38-51.
17.
KirchnerT.PatiñoC. (2010). Stress and depression in Latin American immigrants: The mediating role of religiosity. European Psychiatry, 25, 479-484. doi:10.1016/j.eurpsy.2010.04.003
18.
KroenkeK.SpitzerR. L.WilliamsJ. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606-613.
19.
LeeS. Y. (2011). Racial variations in major depressive disorder onset among immigrant populations in the United States. Journal of Mental Health, 20, 260-269. doi:10.3109/09638237.2011.562260
20.
LeungP.LaChapelleA. R.ScintaA.OlveraN. (2014). Factors contributing to depressive symptoms among Mexican Americans and Latinos. Social Work, 59(1), 42-51.
21.
Lorenzo-BlancoE. I.CortinaL. M. (2013). Latino/a depression and smoking: An analysis through the lenses of culture, gender, and ethnicity. American Journal of Community Psychology, 51, 332-346. doi:10.1007/s10464-012-9553-3
22.
McLeroyK. R.BibeauD.StecklerA.GlanzK. (1988). An ecological perspective on health promotion programs. Health Education & Behavior, 15, 351-377. doi:10.1177/109019818801500401
23.
MarchD.LuchsingerJ. A.TeresiJ. A.EimickeJ. P.FindleyS. E.CarrasquilloO.PalmasW. (2014). High rates of depressive symptoms in low-income urban Hispanics of Caribbean origin with poorly controlled diabetes: Correlates and risk factors. Journal of Health Care for the Poor and Underserved, 25, 321-331. doi:10.1353/hpu.2014.0027
24.
MarinG.GambaR. J. (1996). A new measurement of acculturation for Hispanics: The Bidimensional Acculturation Scale for Hispanics (BAS). Hispanic Journal of Behavioral Sciences, 18, 297-316. doi:10.1177/07399863960183002
25.
MarkowitzJ.WeissmanM. M. (2004). Interpersonal psychotherapy: Principles and application. World Psychiatry, 3(3), 136-139.
26.
MerzE. L.MalcameV. L.RoeschS. C.RileyN.SadlerG. R. (2011). A multigroup confirmatory factor analysis of the Patient Health Questionnaire-9 among English- and Spanish-speaking Latinas. Cultural Diversity and Ethnic Minority Psychology, 17, 309-316. doi:10.1037/a0023883
27.
MirandaJ.SiddiqueJ.Der-MartirosianC.BelinT. R. (2005). Depression among Latina immigrant mothers separated from their children. Psychiatric Services, 56, 717-720. doi:10.1176/appi.ps.56.6.717
28.
MitraniV. B.McCabeB. E.Gonzalez-GuardaR. M.Florom-SmithA.PeragalloN. (2013). Participation in SEPA, a sexual and relational health intervention for Hispanic women. Western Journal of Nursing Research, 35, 849-866.
29.
National Council of La Raza, Institute of Hispanic Health. (2005). Clinical disparities in Latino mental health: Transforming research into action. Retrieved from http://research.policyarchive.org/20241.pdf
OquendoM.EllisS.GreenwaldS.MaloneK.WeissmanM.MannJ. (2001). Ethnic and sex differences in suicide rates relative to major depression in the United States. American Journal of Psychiatry, 158, 1652-1658.
33.
OrnelasI. J.PerreiraK. M. (2011). The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA. Social Science & Medicine, 73, 1169-1177. doi:10.1016/j.socscimed.2011.07.002
34.
PeragalloN.DeForgeB.O’CampoP.LeeS.KimY. J.CianelliR.FerrerR. (2005). A randomized clinical trial of an HIV-risk reduction intervention among low-income Latina women. Nursing Research, 54, 108-118.
35.
PeragalloN.Gonzalez-GuardaR. M.McCabeB. E.CianelliR. (2012). The efficacy of an HIV risk reduction intervention for Hispanic women. AIDS and Behavior, 16, 1316-1326. doi:10.1007/s10461-011-0052-6
36.
SchwarzA. G.McVeighK. H.HovenC.KerkerB. D. (2012). Racial and ethnic differences in depression by partner status and the presence of children in the household. Women’s Health Issues, 22(6), e553-e561. doi:10.1016/j.whi.2012.07.006
37.
ShattellM. M.SmithK. M.Quinlan-ColwellA.VillalbaJ. A. (2008). Factors contributing to depression in Latinas of Mexican origin residing in the United States: Implications for nurses. Journal of the American Psychiatric Nurses Association, 14, 193-204. doi:10.1177/1078390308319034
38.
SpitzerR. L.KroenkeK.WilliamsJ. B. W. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Journal of the American Medical Association, 282, 1737-1744.
39.
SternbergR. M.LeeK. A. (2013). Depressive symptoms of midlife Latinas: Effect of immigration and sociodemographic factors. International Journal of Women’s Health, 5, 301-308. doi:10.2147/IJWH.S43132
TabanachnickB. G.FidellL. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Pearson.
42.
VasquezE.Gonzalez-GuardaR. M.De SantisJ. (2011). Acculturation, depression, self-esteem, and substance abuse among Hispanic men. Issues in Mental Health Nursing, 32, 90-97. doi:10.3109/01612840.2010.528169
43.
VermeeschA. L.Gonzalez-GuardaR. M.HallR.McCabeB. E.CianelliR.PeragalloN. P. (2013). Predictors of depressive symptoms among Hispanic women in South Florida. Western Journal of Nursing Research, 35, 1325-1338. doi:10.1177/0193945913496152
44.
WalkerJ. L.RuizR. J.ChinnJ. J.MartiN.RicksT. N. (2012). Discrimination, acculturation and other predictors of depression among pregnant Hispanic women. Ethnicity & Disease, 22, 497-503.
45.
Wassertheil-SmollerS.ArrendondoE. M.CaiJ.CastanedaS. F.ChocaJ. P.GalloL. C.. . . ZeeP. C. (2014). Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: Results from the Hispanic Community Health Study/Study of Latinos. Annals of Epidemiology, 24, 822-830.
WulsinL.SomozaE.HeckJ. (2002). The feasibility of using the Spanish PHQ-9 to screen for depression in primary care in Honduras. Primary Care Companion to the Journal of Clinical Psychiatry, 4(5), 191-195.
